HomeMy WebLinkAbout0115879-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 84 EVELINE ST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
115879
OWner
CYNTHIA A BRUCE
Create Date 08/2212005
Plan
Contractor PREMIUM AIR INC
Fuel 1';1 Gas
System n New
~ Forced Air
I I Electric
Chimney Type K) Chimney A
Heat Loss . As Approved
BTU Rate K ) As Per Plan
Category 500 - Residential-Heating & Ventiiating
I 10ii
I I Solar
I I Soiid
I I Electric
[7] Replace
U Steam
I I Suppl.
n Other
( ) Chimney B
() Existing
. Direct Vent
U AlC I
I I Con. Burner I
( ) Not Appiicable
U Vent
U Radiant
I I Hot Water
( ) Variable
( ) Not Applicable
. Other
Value
Value 60000
Use/Nature SFRI Replace existing fumace - EIV provided by Premium Air - No Chimney Liner being installed Where an appliance is permanently
of Work isconnected from an existing chimney or vent (CN), the CN shall be resized as necessary to control flue gas condensation in the interior
of the CN and to provide the appliance or appiiances served with the req. draft.
Fees: Valuation
$4,099.00
Plan Approval
$0.00
Penmit Fee Paid
$66.50
Issued By:
Date 08122/2005
D Permit Voided I
Parcelld # 0803200000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit appiication within an easement, the City strongly urges the permit appiicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
N3225 HWY 15
HORTONVILLE
WI 54944-0
Telephone Number
920-982-3323
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.